IP/N/1/NGA/DII Page 21 (d) and (e) Strike out one or both paragraphs, if inapplicable. (f) Here insert the name of the Convention country in which the first application was made. (g) Here insert the official date of the first application in a Convention country. (II) Signature. FORM DESIGNS FEE N4.20 No.6 Patents and Designs Act Cap. 344 APPLICATION FOR COpy OF CERTIFICATE OF REGISTRATION OF DESIGN I (or We) have to inform you that the Certificate of Registration of has been (a) . Design No I (or We) therefore apply for the issue of a copy of such certificate (b) (c) DATED this , . day of 19 . To The Registrar of Patents and Designs, Designs Registry, Federal Ministry of Trade, Federal Capital Territory, Abuja, Nigeria. (a) Here state whether "lost" or "destroyed" or "cannot be produced" as the case may be, and state in full the circumstances of the case which must be verified by statutory declaration or affidavit. (b) Here state interest possessed by applicant in the design. (c) Signature and address.

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